UnitedHealthcare

‘We Bring Unique Capabilities to the Space’: What UnitedHealth Group Is Doing in the Home

UnitedHealth Group (NYSE: UNH) is one of the largest and most pioneering health care organizations in the country. As such, one of its main strategic priorities is bringing more care into the home. Sign up for HHCN + to read this exclusive content. Individual Membership $400 per year Purchase Group 2–5 members $380 per year* …

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UnitedHealth subsidiaries settle mental health parity allegations for $15.6M

UnitedHealthcare and United Behavioral Health agreed to the settlement to resolve allegations that they illegally denied coverage for mental health and substance use disorder treatments. The allegations are related to business practices they no longer use, parent company UnitedHealth Group said.

UnitedHealthcare nixes some out-of-network coverage for non-emergencies

Per a policy update that went in to effect July 1, the health insurance giant is not covering non-emergency services that members receive at out-of-network facilities that are outside of their service area. This update mainly affects residential treatment facilities, inpatient rehabilitation and other non-hospital-based services.

Emergency physicians oppose new UnitedHealth policy enabling retroactive ED claims denial

UnitedHealthcare is instituting a new policy beginning July 1 that changes how the payer assesses emergency department claims, allowing it to retroactively deny ones it deems “non-emergent” or not an emergency. The American College of Emergency Physicians has made its opposition clear, stating the policy may violate federal law.

UnitedHealthcare’s new social determinants effort spans 23 programs

The payer’s Community Catalyst initiative includes 23 programs that involve collaborations with various community-based organizations and health centers. They tackle different types of social determinants of health issues, including food insecurity among seniors and the health needs of those in public housing.

Bright Health follows rival Oscar Health down IPO path

Bright Health has filed preliminary paperwork for an IPO, joining its rivals in the insurance technology space in going public. Though there are few confirmed details at the moment, Bright Health is reportedly looking to raise $1 billion through the offering.

Lawsuit: Like a “boa constrictor,” UnitedHealthcare squeezed anesthesia group out of competition

U.S. Anesthesia Partners has filed lawsuits against UnitedHealthcare in Colorado and Texas, accusing the payer of forcing it out of network and intentionally interfering with its relationships with providers in those states. But, according to UnitedHealthcare, the lawsuits are an attempt to get the insurer to meet the anesthesia group’s high rate demands.

Why hospitals want CMS, FTC to examine two UnitedHealthcare policies

Two UnitedHealthcare policies have raised several concerns among providers, including that they may display anti-competitive behavior and could block patient access to certain healthcare services. The American Hospital Association is asking the FTC and CMS to review and potentially block these policies.

Hurdle Secures $5M for Digital Mental Health Platform for People of Color

What You Should Know: – Washington, D.C.-based Hurdle raises $5M in seed funding to accelerate its digital mental health platform for people of color. – Hurdle aims to provide an innovative teletherapy solution for employers and insurers; aims to remove barriers to mental health care for People of Color by rooting its services in evidence-based …

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UnitedHealth Rolls Out Employer Virtual Primary Care Plan

What You Should Know: – UnitedHealthcare is rolling out a virtual primary care plan for employers that will be powered by telehealth platform Amwell, CNBC first reports. – The virtual primary care plan will allow patients access to physicians with low or no co-pays for routine care via phone or computer. – The virtual primary …

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Intermountain, UnitedHealthcare create ACO for Medicare Advantage members

The health system and payer will coordinate care for eligible Medicare Advantage patients through the ACO, with the aim of improving health outcomes and reducing costs. The ACO expands a long-standing relationship between the two entities.

5 big healthcare lawsuits of 2020

Some of the biggest legal stories of the year include patients attempting to mount a class action lawsuit against Mayo Clinic after an employee improperly viewed more than 1,600 health records and the Supreme Court hearing opening arguments in a case challenging the constitutionality of the ACA’s individual mandate.

UnitedHealthcare Advances Home Strategy, Expects to Make 1.7M House Calls in 2020

A number of major Medicare Advantage (MA) carriers are expanding their supplemental benefit offerings shaped around in-home care next year. UnitedHealthcare, the insurance arm of UnitedHealth Group (NYSE: UNH), is among them. Overall, UnitedHealthcare partners with more than 1.3 million physicians and care professionals across the U.S., plus another 6,500 or so hospitals and other …

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Startups to improve employee benefits: Video from MedCity INVEST Digital Health

Among the areas of interest for employee benefits startups that presented in our Pitch Perfect contest are: electronic patient care records, behavioral health, caregiver support and substance abuse treatment.

#Healthin2Point00, Episode 157 | The phrase is “Takeout Speculation”!

Today on Health in 2 Point 00, Jess and I gossip about the wild rumor that UnitedHealthcare is acquiring Amwell. On Episode 157, we discuss Lark raising $55 million in a Series C along with a deal with Anthem to be their preferred DPP provider, Medicare Advantage plan Clover going public with a valuation of …

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Walmart to Offer Medicare Insurance Plans During 2020 Open Enrollment

What You Should Know: – Walmart announced it will begin selling Medicare insurance plans during this year’s annual enrollment period, Oct. 15 through Dec. 7. Today, Walmart announced the launch of Walmart Insurance Services, LLC, a licensed insurance brokerage, which will assist people with enrolling in insurance plans—and simplify what’s historically been a cumbersome, confusing …

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Amwell and Cigna Ranks High in Telehealth Patient Satisfaction, J.D. Power Finds

What You Should Know: – Amwell ranks highest among direct to consumer brands and Cigna ranks highest among health plans for telehealth patient satisfaction, according to the J.D. Power 2020 U.S. Telehealth Satisfaction Study – Though telehealth has been pitched as a solution to improve access to healthcare for everyone, more than half (52%) of …

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